A Comparison of Survival Rate of Colorectal Cancer Patients Between Emergency and Elective Surgery in Chaoprayayommarat Hospital
Abstract
Objective: The aim of this study was to compare survival rate of colorectal cancer (CRC) patients who received operative treatment between emergency and elective surgery in Chaoprayayommarat Hospital and to analyze the surgical outcome.
Methods: This retrospective study included CRC patients operated in Chaoprayayommarat Hospital during the period 1 January 2012 to 31 December 2017. In this descriptive study, data were analyzed using frequency, percentage, mean, standard deviation, and compared correlation using t test and chi-square test. The survival rate was reported using the Kaplan-Meier test. Between group comparisons were made using log-rank test and Cox regression analysis.
Result: A total of 520 CRC patients who underwent surgery. The mean age was 64.8 years. The overall 5-year survival rate of CRC patients was 41.7%. Five-year stage-specific survival rates for stage I, II, III, and IV CRC were 88.9%, 73.4%, 53.3%, and 6.4% respectively. The emergency surgery group (200 patients) had a significantly poorer 5-year survival rate of 39.5% (HR 1.9, p < .001) compared with the elective surgery group 59.1%.
Conclusion: Accurate and appropriate diagnosis and screening for colorectal cancer before patients develop symptoms that require emergency surgery can reduce postoperative mortality and improve survival rate.
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ลิขสิทธิ์บทความเป็นของผู้เขียนบทความ แต่หากผลงานของท่านได้รับการพิจารณาตีพิมพ์ลงวารสารแพทย์เขต 4-5 จะคงไว้ซึ่งสิทธิ์ในการตีพิมพ์ครั้งแรกด้วยเหตุที่บทความจะปรากฎในวารสารที่เข้าถึงได้ จึงอนุญาตให้นำบทความในวารสารไปใช้ประโยชน์ได้ในเชิงวิชาการโดยจำเป็นต้องมีการอ้างอิงถึงชื่อวารสารอย่างถูกต้อง แต่ไม่อนุญาตให้นำไปใช้ในเชิงพาณิชย์
